Provider Demographics
NPI:1033302401
Name:PAMELA ANDERSON-LUKE, O.D., P.A.
Entity type:Organization
Organization Name:PAMELA ANDERSON-LUKE, O.D., P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON-LUKE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:828-837-1134
Mailing Address - Street 1:PO BOX 595
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-0595
Mailing Address - Country:US
Mailing Address - Phone:828-837-1134
Mailing Address - Fax:828-835-8878
Practice Address - Street 1:540 W US HIGHWAY 64
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-3179
Practice Address - Country:US
Practice Address - Phone:828-837-1134
Practice Address - Fax:828-835-8878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1604152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1386732717OtherNPI INDIVIDUAL
NC2471779AOtherMEDICARE INDIVDUAL PIN
NC89093FEMedicaid
NCU61502Medicare UPIN
NC2333245Medicare PIN